Provider Demographics
NPI:1033348461
Name:MARMOR, MEIR (MD)
Entity type:Individual
Prefix:DR
First Name:MEIR
Middle Name:
Last Name:MARMOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1531 ESPLANADE
Mailing Address - Street 2:ORTHO/TRAUMA DEPARTMENT
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3310
Mailing Address - Country:US
Mailing Address - Phone:530-332-4470
Mailing Address - Fax:530-893-6885
Practice Address - Street 1:1531 ESPLANADE
Practice Address - Street 2:ORTHO/TRAUMA DEPARTMENT
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3310
Practice Address - Country:US
Practice Address - Phone:530-332-4470
Practice Address - Fax:530-893-6885
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA118763207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1033348461Medicaid
CA1033348461Medicare NSC